In people's lives now, hyperuricemia and gout have become "common diseases and multiple diseases", but there are still a large number of patients who have not been standardized in diagnosis and treatment, and even a series of serious complications, such as tophi, gastrointestinal bleeding, osteoporosis, kidney failure, steroid diabetes, adrenal insufficiency, serious infections, etc., and are more likely to suffer from chronic diseases such as diabetes, coronary heart disease, and hypertension. The treatment of hyperuricemia and gout is both "simple" and "difficult".
"Simple", on the one hand, refers to the convenience and feasibility of lifestyle interventions (such as controlling diet and weight, increasing water intake, appropriate exercise, etc.); on the other hand, the treatment of drugs is simple, the use of anti-inflammatory analgesic drugs to control inflammation and relieve pain during the acute onset of gout (such as nonsteroidal anti-inflammatory drugs, colchicine, etc.), the use of uric acid-lowering drugs during gout intermittently to control blood uric acid, avoid attacks (such as nonbustat or allopurinol or benzbromomarone, etc.). The "difficulty" lies in the fact that the treatment of hyperuricemia and gout requires long-term persistence and cooperation of patients, and it is necessary to control the acute attack under the guidance of a specialist and maintain the continuous standard of blood uric acid.
Wan gave the group leader a round
Last month, Wuhan Tongpu Gout Hospital admitted a young man who was pushed by a wheelchair. It is understood that the young man's surname is Zhang, 25 years old this year, but he has a history of gout for 5 years. I came to the hospital this time because of the acute attack of gout yesterday, which caused a sharp redness, swelling and heat pain in the left big toe and could not walk on the ground. In order to completely solve this problem, I came to a professional hospital for treatment.
With further communication with the patient, his attending doctor Wang Wei learned that Xiao Zhang had suffered from gout because he often drank alcohol in 16 years, but was misdiagnosed as a strain by the local hospital, and then after a few days without pain, he left it behind. Summer vacation in 18 years at home, and friends went out for a late night, ate crayfish, drank cold beer, the result of the next day's foot swelling was severe, Xiao Zhang still only took some painkillers, no pain will not eat. Since graduating in June 2019, Xiao Zhang has been engaged in sales positions, and will go to socialize every three to five years. This non-gout also occasionally sneaked up on him.
In fact, in order to solve this problem, Xiao Zhang has been to many hospitals and tried to take some ancestral secret recipes, but all of them are useless. And with the prolongation of time, Xiao Zhang's condition has become more and more serious. After understanding Xiao Zhang's medical history, Wang Wei's team leader suggested that Xiao Zhang be hospitalized for a period of systematic treatment, and also told him that only after finding the source and then carrying out symptomatic treatment could he completely control the condition. Xiao Zhang accepted the recommendation, and after about a week of treatment, his condition had been effectively controlled, so Xiao Zhang took the medicine home to continue the consolidation treatment for a period of time. Recently, Xiao Zhang came to the hospital for a review, and the inspection results showed that everything was normal.
Finally, Wang Wei, the leader of the group, reminded the majority of patients to standardize treatment in time to avoid repeated attacks of gout bringing greater harm to the body.
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